HomeMy WebLinkAbout2000-HVAC (furnace) � CITY OF OSHKOSH No 0082739
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 PROSPECT AVE Owner JEFFREY M FILLMORE ETAL Create Date 10/18/2000
Contractor MONROE HEATING&COOLING LLC Category 500-Residential-Heating&Ventilating Plan
Fuel , as �—� ec ric � o ar o i
System L�-flew ep ace er
orce u a ian eam � en
ec nc o a er upp. —� on. urner
Chimney Type ) imney imney irec en o pp ica e
Heat Loss s pprove xis ing o pp ica e Value
BTU Rate s er an � ana e � er Value
Use/Nature
of Work No electric permit-received installation verification signed by Seckar Electric)
Fees: Valuation $2,100.00 Plan Approval $0.00 Permit Fee Paid $36.50
Issued By: �1S Date 11/O6/2000
� ermi oi e
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenbOwner
Address 2527 BOWEN STREET OSHKOSH WI 54901 -2021 Telephone Number (920)232-6838
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- �10-23-280 11 :35AM FROM MONROE HEATING 92023268dd P. 3
UCL 1H UU lU: l�a Code EnPorce�ent ' 920-236-5084 P, 1
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All ri�2deJiaforeation atcer bold crccgorioa mu�t be provided.
inca�lete �pplieac�ouc Nitt r�o� be proeessed.
DATt
JOY J1nDRt96�,C��-
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SYClp Ni'tit �BpyqCg OTkER
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ELECTAIC, XOT ftA'f£R SUDPI.. �. $�g�
IY CIIIMtRY ��(i IaZI�D LINER SI2E�� . MAatUP1►CTUR$It_.
Noce: A11 chl�ne}•e s1w�1 be sistd per tl�e B1v•s eRiay venced. —"
C9I�E! 1'YP� CHZ1�11TY 7► C�iIlRiBY B `�tR��F �lQT OTNSR
�GT LGBS AE APPROVSD �tT�TI PiG NOT J1LPL2CA8L8
� �n �`PER PLAH VARTABLE CYfHSR YALUE
1R1�RS OT MOIOI: —.y
vu0� (S�nclud�t►q l,abor �uad �at�z�aL) S �
�I.�.TRIGL C01�7t�►�pR��� 4.`���C �` .
Elec�sical inet�llaeion of nev/r�plae��c eq�ipn�ent sAall b� dona Dy licenaed
contaqc�or�,
val�at}oR
Pe�e
50 [O S1.800.00..__..._...r.__,_�........._.__...... SZO.00 `
S1,000.�) co $10,000.00._._�__._�._..___,......_._._.,._.__..-.-•-----�-,�,,,�,,..S�O.UO fOr fireL
S1,OOO.OA p2ua 51.50 par S100.00 v:luation vr part ch�rtvf
i20,000.01 to S25,000.00..__._._,._ , .,..._� �I55.40 tOr =iret
510,o00_00 plue Sl.00 pc�6100.00 vaZuation or p�rt thereof
Over S25.000.00....._._._._......_._.........._.....-..,,__........_-.-.-. ••_._._.$305.do p7 us 50.so
..........,.__..,....._.._.
per $'loU.00 v:luacion or part eher.oE
• sub�nit paya�enc wich appi�cacion. Failure to pay wiChin 30 days vill resuic ia
fee� De�ru� doubled ac $100.00 ylws che noz�na�j permat fe�� Khith Cv�Y ts
qrester.
FROM : SECKAR ELECTRIC FAX N0. • :. 9202313950 Oct. 22 2000 11:44AM P1
� C�y nf pshkosh
� Di�s�oe of Iwpecnoe Semces ;
215 Ch�scb Avenuc
pp Aox1170 �
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Q� orr�ee vza2�bsoso ti''
� ONTMEwA?8P F�x 920•23bS084 �, (��.
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Electric Installation 'Verification
(I) (We) Seckar Electric.Comparry Inc.
(Electrical Contractor Name)
5920 Courtney Plammer Zioad,Winneconne,Wisconsin 54986
(Address) (City) (State) (Zip Code)
MONROE HEATING
have been contracted to per�'orm electric installation wozk for ,
(Name of party contracted to)
at the following address: 121 WEST PROSP�CT
(Addzess where work will be performed)
The nature of the work consists of: (Check One or Deseribe the Nature of Work)
� Rcconnection or new circu;t for replacement Heaang Plant and/or A/C Condenscr.
Reconnection or new circuit for replacement EleeVie Watez Heater.
Reconnection of che Service En�ance Cable, Meter Box, alterations to receptacles and
ligk�ting fixtures duc to siding/sof�t installation. Note• New Servicc Entrance
Cables will require a separate permit
Recozunectian or new circuit for other permanently wired appliances/ fixtures.
Other
The value of this work is$��� •�'� .
I hercby verify tlais wozk will be performed by an employee of this company and further venfy the
recozu�ection/installation will be done in campliance with manufach�rer and Electric code
requirements.
Diane R. Seekar October 22,2000
-�,5 E � .
(Signature f Company Officer) (Print Name of Office�r) (Date)